Remote Revenue Cycle & Billing Readiness Analyst

Clarvida; Costa Mesa (CA); Hybrid; USD 85,000 - 95,000; Full time

Benefits offered by this job

Paid vacation days

Sick leave that rolls over

Medical, dental, and vision insurance

DailyPay

401(k)

EAP

Pet insurance

Job summary

Clarvida is seeking a Revenue Cycle Operations Analyst in California to analyze front-end revenue cycle performance across multiple programs and support operational excellence. You will serve as a subject matter expert in eligibility verification, payer requirements, authorization management, and billing readiness processes.

This role collaborates with clinical, operational, and revenue cycle leadership to identify improvement opportunities, reduce risks, and enable data-driven decisions.

Qualifications

• Bachelor's degree in a relevant field or equivalent experience.
• Minimum three years of revenue cycle or related analytical experience.
• Experience interpreting Medi-Cal, Medi-Medi, commercial payer requirements and eligibility rules.
• Experience creating reports, dashboards, and performance metrics.
• Experience with EHR and billing platforms such as IRIS or Avatar.
• Advanced proficiency in Microsoft Excel.

Responsibilities

• Analyze front-end revenue cycle workflows, eligibility verification, and billing readiness across programs.
• Interpret payer requirements and provide operational guidance.
• Develop and maintain revenue cycle procedures, controls, and best practices.
• Identify risks and coordinate corrective actions with leadership.
• Review billing errors and trends to identify root causes and improvements.
• Develop KPIs, dashboards, and operational reports to support performance.
• Present findings and recommendations to leadership and stakeholders.
• Deliver training on payer requirements, eligibility, and billing readiness.

Skills

Advanced Excel

Data analysis

Critical thinking

Problem solving

Independent judgment

Education

Bachelor's degree

Healthcare Administration

Tools

IRIS

Avatar

Job description

Clarvida is seeking a Revenue Cycle Operations Analyst in California to analyze front-end revenue cycle performance across multiple programs and support operational excellence. You will serve as a subject matter expert in eligibility verification, payer requirements, authorization management, and billing readiness processes.

This role collaborates with clinical, operational, and revenue cycle leadership to identify improvement opportunities, reduce risks, and enable data-driven decisions.